TY - JOUR A2 - Fujimoto, Akihisa AU - Katler, Quinton AU - Pflugner, Lindsey AU - Martinez, Anjali PY - 2018 DA - 2018/07/05 TI - Management of Bilateral Ectopic Pregnancies after Ovulation Induction Using Unilateral Salpingectomy and Methotrexate for the Remaining Ectopic with Subsequent Intrauterine Pregnancy SP - 7539713 VL - 2018 AB - Bilateral ectopic pregnancy is a rare phenomenon which is found with increased frequency when using assisted reproductive technology (ART). This diagnosis is most often made incidentally and intraoperatively, as ultrasound and serial β-hCG trends have shown poor efficacy for accurate diagnosis. Management of bilateral ectopic pregnancies is most commonly reported using bilateral surgical removal of the ectopic pregnancy (salpingostomy and/or salpingectomy). We present a case of an ART patient with incidentally found bilateral tubal ectopic pregnancies, where multiple management strategies including medical and surgical techniques were used concurrently which resulted in a subsequent spontaneous intrauterine pregnancy. While the standard of care is difficult to establish, we recommend individualizing management decisions based on the patient’s reproductive goals and overall risk profile. SN - 2090-6684 UR - https://doi.org/10.1155/2018/7539713 DO - 10.1155/2018/7539713 JF - Case Reports in Obstetrics and Gynecology PB - Hindawi KW - ER -